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Bilateral popliteal vein aneurysms

D T McDevitt1, J M Lohr, K D Martin

  • 1Department of Surgery, Good Samaritan Hospital, Cincinnati, Ohio 45220-2489.

Annals of Vascular Surgery
|May 1, 1993
PubMed
Summary
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This case report details a rare instance of popliteal vein aneurysms causing deep vein thrombosis after hip fracture surgery. Prompt diagnosis and management are crucial for preventing serious complications like pulmonary embolism.

Area of Science:

  • Vascular Surgery
  • Radiology
  • Geriatric Medicine

Background:

  • Hip fractures are common in the elderly, often requiring surgical intervention.
  • Deep vein thrombosis (DVT) is a known complication following orthopedic surgery.
  • Popliteal vein aneurysms are uncommon vascular anomalies that can lead to venous thromboembolism.

Observation:

  • An 82-year-old male presented with leg swelling post-hip fracture repair.
  • Venous duplex scans revealed isolated popliteal vein dilatation with chronic thrombosis.
  • Acute thrombus was identified in multiple lower extremity veins, extending into the superficial femoral vein on follow-up.

Findings:

  • The patient was diagnosed with bilateral popliteal vein aneurysms complicated by acute and chronic deep vein thrombosis.

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  • The aneurysms were associated with significant venous stasis and thrombus formation.
  • The case highlights a rare but serious sequela of popliteal vein abnormalities.

    • Implications:

    • Popliteal vein aneurysms should be considered in the differential diagnosis of DVT, especially in patients with unexplained or recurrent thrombosis.
    • Early recognition and appropriate management of popliteal vein aneurysms are essential to reduce morbidity and mortality.
    • This case underscores the importance of comprehensive vascular assessment in patients with complex orthopedic injuries and suspected venous compromise.